Ch 14 Schizophrenia
Delusions, Hallucinations, Disorganized Speech, Catatonia, Negative Sx
% of population with Schizophrenia
1%
Age of Onset
% of elderly get depressed?
20%
Describe Obsessive Compulsive PD
Intense focus on orderliness, perfectionism, and control that there is no flexibility, openness and efficiency
Positive vs. Negative Symptoms
Positive is being added to experience (hallucinations)
Negative is something being taken away (loss of affect, isolation)
Genetic, too much dopamine, birth defects
Describe Paranoid Personality Disorder
Distrusting of others, irrational & suspicious
Most common substance misuse in older adults
Prescription drugs
Why are PDs controversial?
Lack of formal research, difficult to diagnose, complex ptsd vs. borderline
Three types of Schizophrenia
Catatonic, Disorganized, Paranoid
Psychological causes?
Family dysfunction leads to extreme stress
Schizoid vs. Schizotypal
Schizoid- Little expression of emotion and remove self/avoid social relationships
Schizotypal - Extreme discomfort in close relationships, odd patterns of thinking and perceiving, along with odd behaviors
Disturbance marked by difficulty focusing, staying oriented, concentrating and following orderly sequences of thought
Delirium
TRAUMA!
Onset of Disorder
Men - teens to 20s
Women - 20s-30s
Sociocultural causes?
Cultural labels
Antisocial vs. Narcissitic PD
Antisocial - Disregard for/violate other people’s rights (sociopaths/psychopaths)
Narcissistic - Grandiosity, need for admiration, lack of empathy
Occasional loss of memory initially, Changes in behavior and personality, Eventually loss of every day functions
Alzheimer's Disorder
Avoidant vs. Dependent PD
Avoidant - Consistent discomfort and restraint in social situations, overwhelming feels of inadequacy and extreme sensitivity to negative evaluation
Dependent - Being clingy and obedient, fear of separation and an ongoing need to be taken care of
Scrooge thinks he sees ghosts appearing to him on Christmas Eve. This is a...
Visual Hallucination
Most successful treatment?
Medication (anti-psychotics reduce Sx by 70%) and therapy
Borderline vs. Histrionic
BPD - Instability in interpersonal relationships, self-image and mood, also behaviorally impulsive, risky behaviors/self-harm
Histrionic - Attention seeking and excessive emotionality
Causes of Alzheimer's?
Ammaloid Beta plaque build-up between synapses, poor diet, poor brain circulation, low cognitive reserve
What were diagnoses of the two main characters (B. Coop/JLaw) in the movie Silver Linings Playbook?
B. Coop - Bi Polar
JLaw - Borderline